LAURENCE CLOUTIER-CHAMPAGNE DPM
NPI 1811254725
Podiatrist - Foot & Ankle Surgery in New York, NY

NPI Status: Active since April 16, 2012

Contact Information

81 W 115TH ST
NEW YORK, NY
ZIP 10026
Phone: (212) 426-0088
Fax: (212) 426-8367

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  • Individual
  • Female
  • Years of Experience 17
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LAURENCE CLOUTIER-CHAMPAGNE

This page provides the complete NPI Profile along with additional information for Laurence Cloutier-champagne, a provider established in New York, New York with a medical specialization in Podiatrist, focusing in foot & ankle surgery and more than 17 years of experience. She graduated from New York College Of Podiatric Medicine in 2009. The healthcare provider is registered in the NPI registry with number 1811254725 assigned on April 2012. The practitioner's primary taxonomy code is 213ES0103X with license number N006470-1 (NY). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1811254725
Provider Name
LAURENCE CLOUTIER-CHAMPAGNE DPM
Gender
Female
Entity Type
Individual
Location Address
81 W 115TH ST NEW YORK, NY 10026
Location Phone
(212) 426-0088
Location Fax
(212) 426-8367
Mailing Address
60 MADISON AVE 5TH NEW YORK, NY 10010
Mailing Phone
(212) 545-2400
Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year
2009
Is Sole Proprietor?
Yes
Enumeration Date
04-16-2012
Last Update Date
04-15-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
N006470-1
License State
NY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
331947MEDICARE OSCAR/CERTIFICATION (06)NY 
331978MEDICARE OSCAR/CERTIFICATION (06)NY 
G100000410MEDICARE OSCAR/CERTIFICATION (06)NY 
00695941MEDICAID (05)NY 
331946MEDICARE OSCAR/CERTIFICATION (06)NY 
W6L111MEDICARE OSCAR/CERTIFICATION (06)NY 

Medicare Participation & PECOS Enrollment Status

Laurence Cloutier-champagne is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Laurence Cloutier-champagne is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5890924369

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20140203000317

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for LAURENCE CLOUTIER-CHAMPAGNE DPM

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1811254725, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 2 + 1 + 4 + 5 + 8 + 7 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1811254725.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
81 W 115TH ST
NEW YORK, NY 10026
Obstetrics & Gynecology
81 W 115TH ST
NEW YORK, NY 10026
Family Medicine
81 W 115TH ST
NEW YORK, NY 10026
Pediatrics
81 W 115TH ST
NEW YORK, NY 10026
Social Worker (Clinical)
81 W 115TH ST
NEW YORK, NY 10026
Social Worker (Clinical)
81 W 115TH ST
NEW YORK, NY 10026
Internal Medicine
81 W 115TH ST
NEW YORK, NY 10026
Nurse Practitioner (Psychiatric/Mental Health)
81 W 115TH ST
NEW YORK, NY 10026
Family Medicine
81 W 115TH ST
NEW YORK, NY 10026
Dietitian, Registered
81 W 115TH ST
NEW YORK, NY 10026
Social Worker
81 W 115TH ST
NEW YORK, NY 10026
Family Medicine
81 W 115TH ST
NEW YORK, NY 10026
Social Worker (Clinical)
81 W 115TH ST
NEW YORK, NY 10026
Dentist (General Practice)
81 W 115TH ST
NEW YORK, NY 10026
Family Medicine
81 W 115TH ST
NEW YORK, NY 10026
Family Medicine (Addiction Medicine)
81 W 115TH ST
NEW YORK, NY 10026
Nurse Practitioner (Family)
81 W 115TH ST
NEW YORK, NY 10026
Psychiatry & Neurology (Forensic Psychiatry)
81 W 115TH ST
NEW YORK, NY 10026
Social Worker
81 W 115TH ST
NEW YORK, NY 10026
Clinic/Center (Federally Qualified Health Center (FQHC))
81 W 115TH ST
NEW YORK, NY 10026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811254725, enumerated as an "individual" on April 16, 2012.

The provider is located at 81 W 115TH ST NEW YORK, NY 10026 and the phone number is (212) 426-0088.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.